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<head>
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    <title>8.8弹窗-添加业绩</title>
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  <style type="text/css">
    .regionB{width:calc(100% - 220px);display:inline-block}
    .region{border:1px solid #ddd!important;height:35px!important;line-height:35px!important;font-size:14px!important;padding:0 10px!important;background:#fff!important;width:145px!important}
    .label-left{width:180px;font-size:14px;color:#999;display:inline-block;text-align:left}
    #selectBtn{height:35px!important;line-height:35px!important;font-size:14px!important;text-align:center;color:#fff!important;cursor:pointer;background:#2b92fc!important;border:none!important;width:90px!important;margin-left:20px;padding:1px 12px!important}
    .choose-regionB{padding:0 30px}
    .button{font-size:14px;width:78px;float:right;height:30px;border:none;border-radius:3px!important;line-height:28px;color:#fff;background:#2b92fc}
    .columnMain{padding-bottom:80px}
    .popup96_56{height:auto;margin:0 auto}
    .columnMain-ul{padding-bottom:0}
    .columnMain-ul li{margin-bottom:10px;padding-bottom:0;min-height:53px}
    .columnMain-ul li>div span{width:80px;font-size:14px;margin-right:10px;padding-top:6px}
    .columnMain-ul li>div input{vertical-align:top;color:#333;font-size:14px!important;height:30px!important}
    .form-group{padding-top:0}
    .h-title{font-size:18px;padding:20px 30px 10px!important;color:#333;min-height:20px!important}
    .columnMain-ul li>div .help-block{padding-top:0}
  </style>

</head>

<body>
<section class="popup96_56">

  <div class="columnMain">
    <form action="" class="">

      <div class="h-title">常用联系人信息</div>
      <div class="newZxQz-des" style="padding-left: 44px ;margin: 0 20px 15px 20px">
        <div style="top: 15px;">
          <i class="dtFont dtFont-tishi1"></i>
        </div>
        <div>
          <p>企业必须填写常用联系人信息,请务必填写真实信息</p>
        </div>
      </div>
      <ul class="columnMain-ul pt0 margin-bottom-0">
        <li>
          <div class="form-group">
            <span><font class="red">*</font>姓名</span>
            <div class="labelR">
              <input type="text" class="form-control" placeholder="">
              <span class="help-block">Some help goes here...</span>
            </div>
          </div>
          <div class="form-group">
            <span><font class="red">*</font>身份证号</span>
            <div class="labelR">
              <input type="text" class="form-control" placeholder="">
              <span class="help-block">Some help goes here...</span>
            </div>
          </div>
        </li>
        <li>
          <div class="form-group">
            <span><font class="red">*</font>手机</span>
            <div class="labelR">
              <input type="text" class="form-control" placeholder="">
              <span class="help-block">Some help goes here...</span>
            </div>
          </div>
          <div class="form-group">
            <span><font class="red">*</font>验证码</span>
            <div class="labelR clearfix">
              <input type="text" class="form-control" placeholder="" style="width: 68%!important;">
              <button class="button">点击获取</button>
              <span class="help-block">验证码错误</span>
            </div>
          </div>
        </li>



      </ul>

      <!--分割线-->

      <div class="h-title">企业区划选择</div>
      <div class="newZxQz-des" style="padding-left: 44px ;margin: 0 20px 15px 20px">
        <div style="top: 15px;">
          <i class="dtFont dtFont-tishi1"></i>
        </div>
        <div>
          <p>信息信息信息信息信息信息信息信息信息信息信息信息信息信息信息信息信息信息信息信息信息信息信息信息信息</p>
        </div>
      </div>
      <div class="choose-regionB">
        <div class="w clearfix">
          <span class="label-left">企业注册地址归属行政区划</span>
          <div class="regionB">
            <input type="text" id="province" class="region" readonly="" aria-invalid="false"> - <input type="text" id="city" class="region" readonly="" aria-invalid="false"> - <input id="county" type="text" class="region" readonly="">
            <input type="button" value="选择区划" id="selectBtn">
          </div>
        </div>

      </div>


      <div class="be_sure be_sureW">
        <input class="btn_blue" type="button" value="保 存">
      </div>

    </form>
  </div>
</section>




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